Individual provider Active NPI

Juan Carlos Pares Jr.

  • Non-emergency Medical Transport (VAN)
  • Orlando, FL
National Provider Identifier
1639902844
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
P620423784070 Issued in FL
Practice address
13920 Landstar Blvd # 1
Orlando, FL 32824-5524
Phone
(786) 716-8562
NPI assigned
Aug 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X P620423784070 FL Primary

Addresses

Primary practice location

13920 Landstar Blvd # 1
Orlando, FL 32824-5524

Mailing address

13920 Landstar Blvd # 1
Orlando, FL 32824-5524
Phone (786) 716-8562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P620423784070FLMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1639902844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 LANDSTAR BLVD # 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245524",
            "telephone_number": "786-716-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 LANDSTAR BLVD # 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245524",
            "telephone_number": "786-716-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARES",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "P620423784070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.